Clinical Coordinator – Long Term Support Services

🕒 June 17

🗽 New York – Remote

🗽 New York – Remote

💵 $51.4k - $68.4k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

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MVP Health Care

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1983

⚕️ Healthcare Insurance

👥 B2C

🤝 B2B

Healthcare Insurance • B2C • B2B

MVP Health Care is a regional health insurer offering Medicare Advantage, Medicaid, individual and family plans, Child Health Plus, Essential Plans, and employer-sponsored group coverage. The company provides dental and vision add-on plans, prescription benefits, 24/7 virtual care through its Gia online portal, member services for billing and claims, and community wellness programs focused on affordable, accessible coverage in New York and nearby regions.

📋 Description

• Build lasting relationships with members, families, and caregivers. • Conduct new Member Medicaid Long Term Support Services (LTSS) follow up calls and completion of the members ongoing SDOH assessments. • Ensure complete communication feedback to/from customers regarding service delivery, their ongoing health status, and other post-enrollment activities. • Promote customer understanding of their diagnosis and treatment plan. • Assist customers in addressing unmet needs and recommend community-based supports as necessary. • Facilitate reduction of care disruption or delays in care. • Facilitate access to services which are culturally appropriate, meet the customers’ stated need for service and enhance the quality-of-service delivery. • Promote knowledge of health delivery system(s) to empower member into self-care management. • Support patient-centric strategies to improve health and wellness in collaboration with the RN Case Manager. • Collaborate with MVP Quality Management to support performance measurements. • Facilitate resolution of real and perceived disruptions of care as the customer enrolls in MVP LTSS program.

🎯 Requirements

• Bachelor’s Degree in a Health or Human Service field preferred or combination of an Associate’s Degree in a health or human services field and 2 years of experience working within managed care or health services environment or 5 years of experience as a service coordinator with any population • Working knowledge of Medicaid programs • Extensive knowledge and experience with Medicaid LTSS benefits, community organizations, social services, and public resources • Experience in Managed Care and/or working with Medicaid, or Social Service Agencies a plus • Ability to incorporate Evidence Based Innovation (EBI) practices and information into day-to-day customer engagement • Ability to collaboratively work with team to assist and resolve member concerns and complaints • Ability to adhere to New York State Medicaid regulatory guidelines • Understanding of the time tasking tool, person centered plan of care and the NFloc scoring methodology • Highly organized; capacity to work independently and able to manage multiple priorities appropriately; strong ability to do follow-up • Ability to communicate independently and directly with members, providers and staff with calmness, assertiveness, diplomacy and in a non-confrontational manner.

🏖️ Benefits

• Growth opportunities to uplevel your career • A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team • Competitive compensation and comprehensive benefits focused on well-being • An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.